An innovative longitudinal nurse-midwife mentorship program in rural Malawi: The Global Action in Nursing (GAIN) project
The Global Action in Nursing (GAIN) project is a partnership between University of California, San Francisco, Partners In Health, and the Ministry of Health, Neno District, Malawi that aims to reduce maternal and neonatal morbidity and mortality by improving the quality of perinatal care rendered by...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-01-01
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| Series: | International Journal of Africa Nursing Sciences |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214139123000902 |
| _version_ | 1797403567421652992 |
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| author | M. Openshaw C. Kachimanga I. Mphande M. Sayenda N. Mwale E. Kapito A. Blair C. McMahon M. Mhango S. Rankin K. Baltzell |
| author_facet | M. Openshaw C. Kachimanga I. Mphande M. Sayenda N. Mwale E. Kapito A. Blair C. McMahon M. Mhango S. Rankin K. Baltzell |
| author_sort | M. Openshaw |
| collection | DOAJ |
| description | The Global Action in Nursing (GAIN) project is a partnership between University of California, San Francisco, Partners In Health, and the Ministry of Health, Neno District, Malawi that aims to reduce maternal and neonatal morbidity and mortality by improving the quality of perinatal care rendered by nurse-midwives. In this report, we describe the design and implementation of a nursing training and mentorship program for frontline nurse-midwives in leadership, quality improvement, and midwifery skills, including the implementation of the World Health Organization Safe Childbirth Checklist and Respectful Maternity Care. Short course trainings were followed by one year of on-site clinical mentorship with the goal of improving systems factors (such as ensuring adequate availability of supplies) as well as reinforcing clinical skills.The program was implemented in Neno District, Malawi, a rural district in southwestern Malawi where approximately 5,000 births occur annually. The program is now in its fifth year of implementation and has become well-embedded in the district. Key lessons learned included stakeholder involvement; flexible and responsive program design; nurse-centered model for mentorship; and program transition to local leadership. Since nurses and midwives are the frontline providers of reproductive health care in Malawi, sustained investment in clinical and leadership training for nurse-midwives, accompanied by health systems strengthening, has the potential to improve quality deficits and therefore the health of mothers and babies in low-resource settings. |
| first_indexed | 2024-03-09T02:41:16Z |
| format | Article |
| id | doaj.art-5accd0d5c70a4a938a2848dd36358f2b |
| institution | Directory Open Access Journal |
| issn | 2214-1391 |
| language | English |
| last_indexed | 2024-03-09T02:41:16Z |
| publishDate | 2023-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Africa Nursing Sciences |
| spelling | doaj.art-5accd0d5c70a4a938a2848dd36358f2b2023-12-06T04:17:24ZengElsevierInternational Journal of Africa Nursing Sciences2214-13912023-01-0119100615An innovative longitudinal nurse-midwife mentorship program in rural Malawi: The Global Action in Nursing (GAIN) projectM. Openshaw0C. Kachimanga1I. Mphande2M. Sayenda3N. Mwale4E. Kapito5A. Blair6C. McMahon7M. Mhango8S. Rankin9K. Baltzell10University of California, San Francisco, School of Nursing, 2 Koret Way, San Francisco, CA 94143, USAPartners In Health, PO Box 56, Neno, MalawiPartners In Health, PO Box 56, Neno, MalawiPartners In Health, PO Box 56, Neno, MalawiMalawi Ministry of Health, PO Box 52, Neno, MalawiKamuzu University of Health Sciences, PO Box 30184 Chichiri, Blantyre, MalawiUniversity of California, San Francisco, Institute for Global Health Sciences, 550 16th St, 3rd Floor, San Francisco, CA 94158, USAPartners In Health, 800 Boylston Street, Suite 300, Boston, MA 02199, USAKamuzu Central Hospital, PO Box 149, Lilongwe, MalawiUniversity of California, San Francisco, School of Nursing, 2 Koret Way, San Francisco, CA 94143, USAUniversity of California, San Francisco, Institute for Global Health Sciences, 550 16th St, 3rd Floor, San Francisco, CA 94158, USA; Corresponding author at: Mission Hall, Box 1224, 550 16th Street, Third Floor, San Francisco, CA 94158.The Global Action in Nursing (GAIN) project is a partnership between University of California, San Francisco, Partners In Health, and the Ministry of Health, Neno District, Malawi that aims to reduce maternal and neonatal morbidity and mortality by improving the quality of perinatal care rendered by nurse-midwives. In this report, we describe the design and implementation of a nursing training and mentorship program for frontline nurse-midwives in leadership, quality improvement, and midwifery skills, including the implementation of the World Health Organization Safe Childbirth Checklist and Respectful Maternity Care. Short course trainings were followed by one year of on-site clinical mentorship with the goal of improving systems factors (such as ensuring adequate availability of supplies) as well as reinforcing clinical skills.The program was implemented in Neno District, Malawi, a rural district in southwestern Malawi where approximately 5,000 births occur annually. The program is now in its fifth year of implementation and has become well-embedded in the district. Key lessons learned included stakeholder involvement; flexible and responsive program design; nurse-centered model for mentorship; and program transition to local leadership. Since nurses and midwives are the frontline providers of reproductive health care in Malawi, sustained investment in clinical and leadership training for nurse-midwives, accompanied by health systems strengthening, has the potential to improve quality deficits and therefore the health of mothers and babies in low-resource settings.http://www.sciencedirect.com/science/article/pii/S2214139123000902Maternal mortality and morbidityMalawiMidwiferyMentorshipPerinatal complicationsNurse-midwives |
| spellingShingle | M. Openshaw C. Kachimanga I. Mphande M. Sayenda N. Mwale E. Kapito A. Blair C. McMahon M. Mhango S. Rankin K. Baltzell An innovative longitudinal nurse-midwife mentorship program in rural Malawi: The Global Action in Nursing (GAIN) project International Journal of Africa Nursing Sciences Maternal mortality and morbidity Malawi Midwifery Mentorship Perinatal complications Nurse-midwives |
| title | An innovative longitudinal nurse-midwife mentorship program in rural Malawi: The Global Action in Nursing (GAIN) project |
| title_full | An innovative longitudinal nurse-midwife mentorship program in rural Malawi: The Global Action in Nursing (GAIN) project |
| title_fullStr | An innovative longitudinal nurse-midwife mentorship program in rural Malawi: The Global Action in Nursing (GAIN) project |
| title_full_unstemmed | An innovative longitudinal nurse-midwife mentorship program in rural Malawi: The Global Action in Nursing (GAIN) project |
| title_short | An innovative longitudinal nurse-midwife mentorship program in rural Malawi: The Global Action in Nursing (GAIN) project |
| title_sort | innovative longitudinal nurse midwife mentorship program in rural malawi the global action in nursing gain project |
| topic | Maternal mortality and morbidity Malawi Midwifery Mentorship Perinatal complications Nurse-midwives |
| url | http://www.sciencedirect.com/science/article/pii/S2214139123000902 |
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